Accomplishments Referral scanning process has been built and testing is underway

Scanners have been installed and tested with the referral scanning facility

All the dates on this project have slipped due to significant extension to project scope and changes to technical architecture

Key Issues & Risks

1. Agreement to rationalise templates for each unit for all clinical units

2. Availability of GP surgery email addresses for emailing discharge summaries

3. Delivery of functionality to automatically populate clinical teams details

4. Lack of single referral management process to ensure that referrals are captured on arrival

5. Issues with adding historic documents if not appropriately filed and named

6. Setting up Clinical Documentation library on SharePoint with advance search facility

7. To redesign the Clinical Documentation Library Interface (Phase 2)

Upcoming Activities Develop e-learning training material – this is an ongoing task

Both scanning and SharePoint testing to be completed by 29/01/10

User acceptance testing and trail run of training materials

Arrange pilot user training for week beginning 11/03/10

Organise demonstrations to the wider user population to get feedback and engagement

Mitigating Actions

1.The project team is working with the clinical units taking part in the pilot

2.Commissioning team are liaising with the commissioners

3.In discussion with supplier to implement the functionality. Due to its complexity the delivery dates have been slipping.

4.It has been agreed with the Director of Operations that this process will only take place in Centralised Bookings

5.Units will have to rename files to meet the file naming requirements to enable them to be processed

6.To be delivered by the supplier on 22/01/10. This date has slipped previously due to technical issues encountered.

7.Discussed with supplier and awaiting for a delivery date

Key Milestones

Server Development and configuration

30/06/09COMPLETE

Agreeing templates for pilot units 19/06/09COMPLETE

Xanadutec end to end system implementation

13/08/09COMPLETE

CIMS end to end implementation 13/08/09COMPLETE

PHASE 1

Authorisation process 30/09/09COMPLETE

Populating Clinicians demographics

Awaiting date from Suppliers

Adding historic documents for the 3 pilot units

22/03/10

Completion of testing 29/01/10

Final software and hardware configuration

24/02/10

Deliver training ( for 3 units) 11/03/10 - 19/03/10

Pilot go live with 3 units 29/03/10

Go live for remaining units (one unit at a time)

19/04/09

PHASE 2

Scanning of referrals process 05/02/2009

Clinical Documentation Library (CDL) Highlight Report 15/01/10 Appendix A

Accomplishments

IM & T policies have been published on the RNOHWeb Policy and procedure

Working search facility

Metadata to be identified in all policies has been submitted for approval

Roll out plan for Trust wide policies.

Key Issues

1. Publishing Trust wide policies and procedures

2. Confirmation of the commencement of the workflow development

Upcoming Activities

Publish trust wide polices as per the roll out plan

Incorporate all policies into the Corporate Document Library

Phase 2

Further development of the module to provide full workflow to support our requirement

Mitigating Actions

1.Roll out plan has been devised by HR department

2.This has been discussed with the developer and are awaiting for a delivery date.

Key Milestones

Corporate Document Library Project as at 15/01/10

Training for Administration Users

COMPLETED

Integrate IM&T Policies 13/11/09COMPLETED

Search facility COMPLETED

Go live IM&T Pilot 16/11/09COMPLETED

Go live (Please see separate rollout plan from Jackie Stephens – Agenda item 11, attachment J)

February to August 2010

PHASE 2Completion of Workflow Development including version control, notification of policy expiry, integration with Outlook

June 2010

Accomplishments

Real time Patient feedback went live on 1/12/2009

Nursing department are using tablet PC’s to capture real time patient feedback. No further issues have been identified

Key Issues

1. None

Upcoming Activities

Phase 2

To complete the integration of SharePoint with Data Warehouse to produce consolidated reports on the feedback received.

Mitigating Actions

1. None

Key Milestones

Real Time Patient Feedback Project as at 15/01/10

Proof of concept 21/08/09COMPLETE

Demonstration to stakeholders

21/08/09COMPLETE

Finalised form factor 21/08/09COMPLETE

Approve Design 30/10/09COMPLETED

Confirm Data Items 30/10/09COMPLETED

Create web application 08/11/09COMPLETED

Design survey 13/11/09COMPLETED

Create reports 20/11/09COMPLETED

Testing 27/11/09COMPLETED

Deliver training 04/12/09COMPLETED

Go live 07/12/09COMPLETED

Phase2 Integration with Data warehouse

31/03/2010

Accomplishments We have completed 3 Implementation Pushes (Including Slope Wards, SCIC, PNI, Theatres, Plaster

Theatre, SDU, SCIC, PNI Paediatric Unit, Metabolic Unit, Coxen/ADU, DOG, IM&T) – we have rolled out to a total of 270 PCs. Feedback has been largely positive.

Key Issues & Risks

1. Patient information sharing across systems will not work if the patient does not have a NHS number booked in the Trust systems. This presents a clinical risk as users may view the wrong patient details in a particular system.

2. Users have requested that the hospital number is displayed on peoples’ PCs and not the NHS number

3. Some Clinicians have requested some changes to ICE to enhance patient context sharing

Upcoming Activities Completion of Implementation Pushes 4, 5 & 6

Completion of Single Sign on and Context Management functionality for RadCentre. This will enable us to complete the Push 6 roll out for Imaging

Completion of RNOH 1+1 Operations Manual and handover to relevant application owners and IT Support

Debrief and lessons learnt to be completed with the Supplier.

Mitigating Actions

1. The team is currently working to provide a solution which will ensure that when searching for patients with no NHS numbers in one system, subsequent applications will yield no results and force the user to repeat the patient search

2. The project team is working with the supplier to provide a solution

3. The project team is working with the supplier to provide a solution

Project Schedule and Preparation Activities

15/05/09COMPLETE

Application Bridge Development Environment Established

18/05/09COMPLETE

Design Complete 22/05/09COMPLETE

Application Bridge Development Complete

24/07/09COMPLETE

Roll out strategy/planning Complete

14/08/09COMPLETE

Testing Complete - Trust acceptance of functionality

19/10/09(SLIPPED)

Pilot Phase 1 4/09/09COMPLETE

Bridgeworks Training 24/09/09COMPLETE

Pilot Phase 2 30/10/09COMPLETE

Push 1 2/11/09COMPLETE

Push 2 13/11/09COMPLETE

Push 3 (Slope) 12/12/10COMPLETE

Push 4 (BTU &remaining Wards) 22/01/10

Push 5 (Bolsover Street & Outpatients Clinic Rooms)

5/02/10

Push 6 (Imaging & Therapies) Feb 2010

Key Milestones

Single Sign On and Context Management Highlight Report as at 15/01/10RNOH 1+1

RNOH INSIGHT Status Update as at 15/01/10

AccomplishmentsData Warehouse

PAS load validation - a number of additional data issues have now been identified and require further investigation by the supplier and the Trust. The sign off date has slipped to February.

RadCentre data model is being constructed in the Data Warehouse and Data transfer into the Datawarehouse has started and we will look to validate the data during the course of January and February

Automated Data Cleansing of Inpatient Episodes missing referrals completed.

Insight Reporting

Completed work on Data Warehouse sourced Phase 1 Reports that are solely reliant on PAS data (based on the requirements raised by the work streams) .

Agreed with Finance on phase 2 PLC data flows.

Key Issues & Risks

1. The PAS Data transfer sign off date has slipped again to February given the number of data issues identified, that require investigation by both the Trust and supplier

2. Given the absence of referral information in RadCentre, we are currently not able to RIS patient exam information to the referral information in PAS

Upcoming ActivitiesData Warehouse Completion of Data cleansing effort and validation of PAS load and automated update process – Sign off of PAS Data

transfer in the Data warehouse Analysis of RadCentre Data and completion Imaging data transfer into the Data warehouse Initiate discussions regarding population of therapies data into the Data warehouse (Phase 2).

Insight Reporting Present Data warehouse sourced Phase 1 reports for review by the relevant workstream leads Conduct a design review of Insight to ensure that the reporting tool meets the information needs of the intended

audience. Complete Insight reports for the 18 Week Recovery Board

Mitigating Actions

Key Milestones – Phase 1

Linking with QlikTech (for PAS data in DW) 19/08/09 COMPLETE

Completion of PAS Data Transfer Feb 2010(SLIPPED)

Completion of RadCentre Data Transfer Feb 2010

Workstreams to deliver Requirements 30/06/09COMPLETE

Completion of 18 Weeks Reporting Solution

1/07/09COMPLETE

Completion of the Prosthesis Reporting Solution

24/07/09COMPLETE

Completion of Daily Discharge Monitoring Report

28/07/09COMPLETE

Completion of New to Follow up ratio 11/08/09COMPLETE

Completion of Coded/Uncoded Lists Report

21/08/09COMPLETE

Phase 1 Business Intelligence Reports

Completion of Operational Workstream Reporting Solution

May 2010

Completion of PBR Clinical Coding Reporting Solution

June 2010

Completion of Clinician Workstream Reporting Solution

June 2010

Completion of Executive Information Workstream Solution

July 2010

Completion of Data Quality Workstream Reporting Solution

July 2010

Development of Phase1 reports and Business Intelligence Output

July 2010

1. The project team is working with the supplier to resolve these issues as a matter of urgency

2. The supplier is currently analysing RIS and PAS data to find another way to link them

Accomplishments

Interim wireless point installed to allow testing to take place

Further software updates have been made to the system following testing

Equipment requirements have now been agreed and can be purchased

The Tablets have been tested and they meet the user requirements

The Interface to PAS has been completed

Example demographic data load database delivered

Email and Faxing directly from the system using NHS mail has been tested and is working successfully.

Key Issues

1. IT skills in the department

2. Implementation of significant changes to working practices

3. Design of comprehensive test scripts

4. Development and listing of business continuity requirements and perational plan

Upcoming Activities

Final scenarios and test scripts to be completed

Testing to continue on the interim version of application including further interface testing

Delivery of further updates to the application following user acceptance testing

The live wireless points to be installed

Business Continuity Plan and Operational Plan to be completed

Mitigating Actions

1.Preliminary IT skills training delivered

2.Maintaining engagement of key staff

3.These are being delivered by the key users

4.This will become a critical service for delivering patient care and will be totally dependent upon the system

Key Milestones

Apr 20, 2023 6

Orthotics Paper Lite Project as at 15/01/2010

Delivery of Completed Application

30/10/09

Application Testing Feb 2010(SLIPPED)

Install Wireless and Network Points

COMPLETED

Interface to PAS COMPLETED

Deliver training 01/12/09

Pilot Go live Feb 2010SLIPPED 8w

Go Live Mar 2010SLIPPED 8w

Post Implementation Issues and Support

Mar 2010 onwards

Accomplishments

Discharge Letter Completed in readiness for the process to run within iCS PAS although there may now be some further updates required following discussion with the Users

A solution has been found for the Drugs database but discussion is now centred around how to update the system on a regular basis

Agreement has been reached with the Users as to the population of diagnosis and procedure codes

Key Issues

1. Finalising Discharge Letter template to work within PAS

2. Embedding of process changes in areas and with personnel where Discharge Summaries are to be completed

3. Some changes may be required for Go Live

Upcoming Activities

Work with the PAS supplier to get the Drug Database uploaded with a process to update this regularly

Set up standard phrases as appropriate

Obtain Clinical Sign off to the process

Establish Training Plan

Deliver Training

Mitigating Actions

1.Further minor changes required

2.Discussions with key stakeholders are taking place with a view to implementing this process

3.Raise the changes with PAS Supplier with a view to prioritising early development

Key Milestones

Apr 20, 2023 7

PAS Discharge Summary Project as at 15/01/2010

Application and Process Testing COMPLETED

Training for Pilot Users MARCH 2010SLIPPED 12w

Pilot Go Live March 2010SLIPPED 12w

Go live APRIL 2010SLIPPED 12w